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Length of stay and 30-day readmissions after isolated humeral shaft fracture open reduction and internal fixation compared with intramedullary nailing

Injury Feb 11, 2020

Merrill RK, et al. - Humeral shaft fractures fixed with open reduction and internal fixation (ORIF) vs intramedullary nailing (IMN) were compared with respect to 30-day unplanned readmissions and length of stay (LOS). Querying the nationwide readmissions database, researchers identified 406 patients treated with IMN and 406 patients treated with ORIF for inclusion in this study. Observations revealed the 30-day readmission rate of 6.4% for IMN and 4.9% for ORIF, and the median LOS was 3 days for each group. Independent risk factors for readmission were congestive heart failure (CHF), depression, and electrolyte abnormality. Independent risk factors for LOS > 3 days were older age, CHF, electrolyte abnormality, obesity, Medicaid, discharge to a facility, discharge with home health services, and open fracture. No predictive value of procedure (ORIF vs IMN) for 30-day readmission or LOS > 3 days was identified.
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